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the <br />e�erett C'�NST�RUC1 <br />11 PERMIT <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING <br />PERMITNO:- 19245 <br />® MECHANICAL •❑ PLUMBING ❑ SIGN <br />""" "-" �Li✓ YHUN[ <br />Mike Leibold 716 SE Everett Mall Way 353-0845 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Gary Parkinson 527 <br />Med Dent Build. 2722 Colby Ave <br />252-2153 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Williams & Abbott <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />N.W. Energy Systems <br />22&ik 11x2 20815 SD a Avew Lynnwood. <br />WA <br />774 70Rn <br />NORTRTS1R9T2 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE, <br />CLASS OF WORK <br />Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 1,900. <br />DESCRIBE WORK <br />Install bath exhaust fans, engine exhaust duct, class "A" chimmney <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WI)ODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Auto sales & maintenance <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />S1ATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT CONTRA AUTHOR[ DAGENT. OR OWNER DATE <br />X <br />TT <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES[ <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />215 SW Everett Mall Way <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A/HNOLG UNITS — H.P. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA, <br />LAVATORY (WASH BASIN) <br />BOILERS — B.T.U./H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS — B.T.U. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSI EMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />POOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC) <br />1 <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />Q 1 <br />EXHAUST FAN <br />18 <br />00 ` <br />SUB TOTAL <br />$ <br />SUB TOTAL <br />48 <br />30 <br />PERMIT <br />$ <br />_ <br />PERMIT <br />15 130 <br />TOTAL FEE <br />$ <br />TOTAL FEE <br />63 <br />bO <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />To OF —DWELLING UNITS <br />BUILDING <br />$ <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC LOAD <br />MECHANICAL <br />63 <br />00 <br />FIRE SPRINKLERS REQUIRED 171 YES ❑ NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />— <br />STATE BUILDING SURCHARGE <br />..vunnuc <br />STATE ENERGY SURCHARGE <br />— <br />APPLICATION ACC. BY <br />M. M. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE <br />BY <br />DRIVEWAY R?RMIT <br />TOTAL <br />63 <br />00 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS FILE <br />